Jane is an attractive woman in her mid-thirties, tall, thin and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she hasn't left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, hiding in her room, even on Thanksgiving. The one time she left the house - forced to see a doctor - she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this," she said. "If I had my choice, I'd rather be blind or have my arm cut off. I'd be happy to have cancer." Jane has body dysmorphic disorder, or BDD. In this revised and expanded edition of The Broken Mirror, Dr Katherine Phillips draws on years of scientific research, clinical practice, and detailed interviews with patients to bring readers an updated and expanded book on this troubling and sometimes debilitating disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, such as Jane's, but also milder cases, such as Carl, a successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose", sneaking constant peaks at a pocket mirror, or spending hours redoing makeup. BDD afflict millions of people. It isn't an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns; one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. This revised and expanded edition of The Broken Mirror provides updated information from recent research that sheds new light on this serious illness. Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they know have BDD. She includes common clues to BDD - such as frequent mirror checking, covering up with clothing, and excessive exercise. Four new chapters on treatment contain updated information and recommendations on how to effectively treat BDD - as well as frequently obtained treatments that should be avoided. A revised chapter offers helpful advice and reassurance for friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book. The revised and expanded edition of The Broken Mirror is the most comprehensive book on BDD and is written by the leading expert on this disorder. It is essential reading for psychiatrists, other mental health professionals, dermatologists and plastic surgeons; for the friends and family concerned about a loved one who won't believe their reassurance; and for the millions who suffer from BDD in silence and secrecy.
My first assessment case was a 33-year-old separated woman, who had maintained a fluctuating eating pattern between restrictive dieting and binge eating for almost a decade. Apparently, a diagnosis of Binge Eating Disorder would best match her presenting pr...
评分My first assessment case was a 33-year-old separated woman, who had maintained a fluctuating eating pattern between restrictive dieting and binge eating for almost a decade. Apparently, a diagnosis of Binge Eating Disorder would best match her presenting pr...
评分My first assessment case was a 33-year-old separated woman, who had maintained a fluctuating eating pattern between restrictive dieting and binge eating for almost a decade. Apparently, a diagnosis of Binge Eating Disorder would best match her presenting pr...
评分My first assessment case was a 33-year-old separated woman, who had maintained a fluctuating eating pattern between restrictive dieting and binge eating for almost a decade. Apparently, a diagnosis of Binge Eating Disorder would best match her presenting pr...
评分My first assessment case was a 33-year-old separated woman, who had maintained a fluctuating eating pattern between restrictive dieting and binge eating for almost a decade. Apparently, a diagnosis of Binge Eating Disorder would best match her presenting pr...
这本书的格局之大,远远超出了我最初的预期。它不仅仅是一个关于个人命运的故事,更像是一部微缩的历史画卷,映照出某种时代精神的变迁与冲突。我被其中对权力结构和体制弊端的深刻批判所震撼,作者并没有采取说教式的口吻,而是通过一系列精心设计的冲突事件,让读者自己去体会和判断这种体制的内在矛盾与对人性的异化。书中的配角塑造也极为成功,他们不再是简单的工具人,每个人都有自己无法摆脱的枷锁和坚持的原则,即便是反派,也拥有令人侧目的复杂动机,这使得正邪之间的界限变得模糊不清,充满了灰色地带的张力。我特别欣赏作者在处理冲突高潮时的克制,没有走向那种俗套的、戏剧性的爆发,而是让一切在一种近乎平静的、却是无可挽回的结局中收场,这种“无声的崩溃”比任何呐喊都更具力量。读完后,我感觉自己仿佛刚刚经历了一场漫长而艰苦的朝圣之旅,收获的不仅是故事的结局,更是对世界运行逻辑更深层次的理解。
评分我发现这本书最吸引我的地方在于它的氛围营造,它成功地构建了一种既熟悉又陌生的世界观。你能在其中看到现实的影子,却又有着清晰的、超脱于日常的逻辑体系。作者对环境的描写达到了近乎艺术品的高度,比如对某种特定光线的捕捉,对季节更替带来的感官变化的细致捕捉,这些都极大地增强了故事的沉浸感。同时,书中对“信念”这个主题的探讨也格外深刻。每个人都在追寻某种确定性,无论是对真理的渴求,对某种理想的忠诚,还是对某段情感的执念,但作者却不断地用残酷的现实去敲击这些信念的脆弱性。这种对人类精神内核的不断试探和拷问,让阅读体验充满了智力上的挑战。我忍不住会停下来,反复咀嚼某些段落,思考作者是如何在看似无关紧要的细节中,埋下了影响全局的伏笔。这本书要求读者投入大量的精力去感受,它不是用来消磨时间的读物,而是需要被认真对待的艺术品。
评分从结构上看,这部作品的精妙之处在于它如何处理“失落”与“重塑”的主题。它开场就建立了一个巨大的缺憾,一个无可弥补的创伤,然后跟随主角踏上了一条看似徒劳的找寻之路。然而,这条路最终指向的并非是简单的“修复”,而是一种痛苦的“接纳”与“重建”。作者的高明之处在于,她没有让主角轻易地获得救赎,相反,她让主角带着满身的伤痕,学会与那些无法愈合的裂痕共存。这种对创伤后成长的描绘,真实得令人心痛,它拒绝了廉价的圆满结局,而是肯定了挣扎本身的价值。书中的对话部分尤其精彩,那些言语交锋充满了智慧和锋芒,很多关键信息都隐藏在看似随意的寒暄和试探之中,需要读者具备很强的解读能力才能捕捉到其深层含义。总的来说,这是一部需要耐心品味的厚重之作,它不仅提供了引人入胜的故事,更提供了一次深刻的自我对话的机会。
评分这部小说的开篇就展现出一种令人窒息的压抑感,仿佛作者将读者直接拽入了一个被浓雾和无尽的灰色笼罩的世界。主角内心的挣扎和外部环境的萧瑟形成了完美的映衬,每一个细微的动作、每一次不经意的对视,都充满了未言明的张力。我尤其欣赏作者对心理细节的刻画,那种细微的自我怀疑、在关键时刻闪现的勇气,都描摹得入木三分,让人感觉完全代入了角色的心境。叙事节奏的处理非常老练,时而如溪流般平缓地铺陈背景,时而又陡然加速,抛出一个令人心惊的转折,这种张弛有度的节奏感,让我在阅读过程中始终保持着高度的警觉和投入。书中对人际关系的复杂性进行了深刻的探讨,那些看似坚固的联盟如何在压力下瓦解,友谊的界限又在哪里被悄然跨越,这些都引发了我对现实生活中类似情境的反思。它不是那种提供简单答案的故事,而是更像一面棱镜,折射出人性中那些晦涩、难以言喻的层面,读完后,那种挥之不去的沉重感,让我久久不能平静。
评分我得说,这本书的语言风格简直是一场视觉盛宴。作者似乎对词语的选择有着近乎偏执的追求,每一个形容词和动词都像是经过精心打磨的宝石,闪烁着独特的光芒。尤其是在描绘那些宏大场景时,那种磅礴的气势,仿佛能透过纸面扑面而来,让你感受到世界的辽阔与个体的渺小。但更绝妙的是,在描绘那些极度私密的内心独白时,语言又变得异常精准和克制,没有一丝多余的渲染,恰到好处地传达了角色的脆弱与坚韧。情节的推进并非完全遵循线性逻辑,作者巧妙地运用了回忆与现实的交织,像织布一样,将过去埋下的伏笔与现在的困境层层叠合,直到最后才豁然开朗,揭示出那个隐藏在时间深处的真相。这种非线性的叙事结构,初读时或许需要集中精力去梳理,但一旦适应了这种节奏,便会发现它极大地增强了故事的厚度和回味空间。对于那些喜欢在文字中探寻精妙构思和独特美感的读者来说,这本书绝对是不可多得的佳作。
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